Q: What would post cycle therapy (PCT) be like for female steroid users and for what reasons? A: In the case of pre-menopausal females, tapering the anabolic-androgenic steroids (AAS) would be the best treatment. Anabolic steroid administration, like males, causes the HPGA to shutdown. However, stopping the AAS will produce menopausal like symptoms, therefore tapering … [Read more...]
About Michael Scally, M.D.
Is Dianabol a Good Choice for a Steroid Bridge?
Question: Is Dianabol a good anabolic for a "steroid bridge" since it's not really suppressive of natural testosterone production? Answer: Dianabol adversely affects the HPTA. There is a lot of commentary, both in posts and websites, that dianabol does not adversely affect the HPTA. It is difficult, more like impossible, to find support for this in the peer reviewed … [Read more...]
What Can Bodybuilders Learn from a Doctor Without Real World Experience?
Q: "Doctors have developed the reputation in the athletic world for not knowing anything about the real world application of steroids.The reason is that bodybuilders and steroid users with real world experience, and I believe published scientific studies as well, know that muscular gains are dose dependent. "The more steroids used, the greater the results in muscle gained. So … [Read more...]
Should I Inject HCG Intramuscularly or Subcutaneously?
Q: I have heard some people say to inject HCG intramuscularly and some say subcutaneously. Which one is it? A: One should always inject hCG subcutaneously. The simplest reason is the comfort of the injection; less trauma to tissues; and decreased risk of infection. Subcutaneous versus intramuscular are equally effective. As far as the kinetics of the injections one would … [Read more...]
Do Antidepressants Lower Testosterone Levels?
Q: Is it true that selective serotonin reuptake inhibitors (SSRIs) like Paxil decrease Testosterone? A: No. I do not know of any evidence that Paxil or for that matter antidepressants decrease serum testosterone levels. The antidepressants a a class do affect sexual function. Epidemiological studies indicate that sexual dysfunction and erectile dysfunction in particular are … [Read more...]
Definition of Androgen Deficiency and the Role of SHBG
Q: Why do we need SHBG? What would happen if we lowered SHBG too much? Can lowering SHBG be used as a form of Testosterone Replacement Therapy? A: Total Testosterone (TT), BT and DHEA-S decreased with age; 0.2, 0.7 and 1.2%/year respectively. SHBG showed an increase with age of 1.1%/year. Clinically if an individual is symptomatic, a TT test is sufficient if the level is low … [Read more...]